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This benefits people with low stomach acid (including many people over the age of 50) or those who take acid blockers such as Pepcid or Zantac, or proton pump inhibitors such as Prevacid, or Prilosec, who are at an increased risk for B-12 deficiency

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Goal: Maintain testicular function and support recovery Approach: Begin HCG 1500-2000 IU every other day during final 2 weeks of cycle Continue for 2-3 weeks after last steroid dose Transition to SERM (clomiphene 50mg daily for 2 weeks, then 25mg for 2 weeks) Discontinue HCG when starting SERM Monitoring: Blood work at 4 weeks post-cycle Verify testosterone recovery before discontinuing SERM For additional context on recovery protocols, our guide on peptides versus steroids discusses differences in recovery requirements

Inflammation and gut dysbiosis as drivers of CKDMBD